MEDICARE: INTEGRATED HOME HEATH CARE AGENCY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	251B00000X	Case Management Agency	IN
2	251E00000X	Home Health Agency	IN
3	253Z00000X	In Home Supportive Care Agency	IN
4	347C00000X	Private Vehicle	IN
5	251J00000X	Nursing Care Agency	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	09-012-142-1	OTHER	IN	HOME HEALTH CARE

General Provider Information

NPI Number	:	1184957219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED HOME HEATH CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	8964 COCKERHAM CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-5044
Country	:	US
Telephone Number	:	317-412-8531
Fax Number	:	317-344-3159

Provider Business Practice Location Address
First Line	:	8964 COCKERHAM CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-5044
Country	:	US
Telephone Number	:	317-412-8531
Fax Number	:	317-344-3159

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. VICTORIA ALEXANDRIA KEATON
Credential	:	MSN
Telephone Number	:	317-412-8531

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	09/22/2015

Similar Medicare Providers

1790566610 — DIAMOND HOME CARE LLC
Practice Location Address:

2416 GERRARD AVE
INDIANAPOLIS, IN
46224-5044

Practice Phone: 480-371-7879
Practice Fax:

1447074539 — GENTLE HANDS HOME CARE
Practice Location Address:

9973 BLUE RIDGE WAY
INDIANAPOLIS, IN
46234-5044

Practice Phone: 317-723-2809
Practice Fax:

1922707793 — MS. KATELYN NICOLE OVERFIELD NP
Practice Location Address:

8450 NORTHWEST BLVD
INDIANAPOLIS, IN
46278-1381

Practice Phone: 317-802-2000
Practice Fax: 317-802-2170

1962240689 — BAYSIDE BEHAVIORAL HEALTH IN LLC
Practice Location Address:

5929 LAKESIDE BLVD
INDIANAPOLIS, IN
46278-1996

Practice Phone: 317-520-8300
Practice Fax:

1487459418 — HEARTS AT PEACE HOME HEALTH CARE CO.
Practice Location Address:

5650 W 73RD ST
INDIANAPOLIS, IN
46278-1738

Practice Phone: 317-608-8277
Practice Fax:

1114718921 — LADE BEHAVIORAL HEALTH SERVICES LLC
Practice Location Address:

8346 CODESA WAY
INDIANAPOLIS, IN
46278-5065

Practice Phone: 786-351-8719
Practice Fax:

Directions to “INTEGRATED HOME HEATH CARE AGENCY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.